{php include wl_template('common/header');}
    <link rel="stylesheet" href="{TG_URL_ARES}shaoniangong/css/index_order.css"/>
</head>
<style type="text/css">
    @media only screen and (max-device-width: 320px){
        .weui-label {
            text-align: left;
            width: 90px;
            white-space: nowrap;
            text-overflow: ellipsis;
            overflow: hidden;
        }
    }
    .weui-picker-modal{
        z-index: 99999;
    }
</style>        
<body>
    <div class="weui-loadmore">
        <i class="weui-loading"></i>
        <span class="weui-loadmore__tips">玩命加载中</span>
    </div>
    <div class="weui-loadmore">
        <i class="weui-loading"></i>
        <span class="weui-loadmore__tips">玩命加载中</span>
    </div>
    <div class="back"><i class="iconal-xiangzuojiantou"></i>返回选择项目</div>
    <!--<div class="weui-mask weui-actions_mask weui-mask&#45;&#45;visible"></div>-->
    <!--<div class="weui-actionsheet  weui-actionsheet_toggle" id="weui-actionsheet"><div class="weui-actionsheet__title">选择操作</div><div class="weui-actionsheet__menu"><div class="weui-actionsheet__cell color-primary">发布</div><div class="weui-actionsheet__cell color-warning">编辑</div><div class="weui-actionsheet__cell color-danger">删除</div></div><div class="weui-actionsheet__action"><div class="weui-actionsheet__cell weui-actionsheet_cancel">取消</div></div></div>-->
    <!--<div class="edit">-->
        <!--<span>已选择项目</span>-->
        <!--&lt;!&ndash;<a href="##">编辑</a>&ndash;&gt;-->
    <!--</div>-->
    <div class="weui-cell nonBorTop">
        <div class="weui-cell__hd">
            <label class="weui-label">姓名</label>
        </div>
        <div class="weui-cell__bd">
            <input class="weui-input name" type="text" maxlength="10" placeholder="请输入姓名">
        </div>
    </div>
    <!-- <div class="weui-cell">
        <div class="weui-cell__hd"><label for="time3" class="weui-label">出生年月</label></div>
        <div class="weui-cell__bd">
          <input class="weui-input birth" id="time3" type="text" readonly="" readonlyunselectable="on"> 
        </div>
    </div> -->
    <div class="weui-cell weui-cells_checkbox">
        <div class="weui-cell__hd">
            <label class="weui-label">性别</label>
        </div>
        <div class="weui-cell__bd">
            <label class="weui-check__label" for="s11">
                <div class="weui-cell__hd">
                    <input type="radio" class="weui-check" name="checkbox1" id="s11" checked="checked">
                    <i class="weui-icon-checked"></i>
                </div>
                <div class="weui-cell__bd">
                    <p>男</p>
                </div>
            </label>
            <label class="weui-check__label" for="s12">
                <div class="weui-cell__hd">
                    <input type="radio" name="checkbox1" class="weui-check" id="s12">
                    <i class="weui-icon-checked"></i>
                </div>
                <div class="weui-cell__bd">
                    <p>女</p>
                </div>
            </label>
        </div>
    </div>
    <div class="weui-cell">
        <div class="weui-cell__hd">
            <label class="weui-label">联系电话</label>
        </div>
        <div class="weui-cell__bd">
            <input class="weui-input mobile" type="tel" maxlength="11" pattern="1[3-9]{10}" placeholder="请输入手机号">
        </div>
    </div>
    <div class="weui-cell">
        <div class="weui-cell__hd">
            <label class="weui-label">身份证号码</label>
        </div>
        <div class="weui-cell__bd">
            <input class="weui-input shenfengzheng" type="text" maxlength="18" placeholder="请输入身份证号码">
        </div>
    </div>
    <div class="weui-cell" >
        <div class="weui-cell__hd">
            <label class="weui-label">年级</label>
        </div>
        <div class="weui-cell__bd">
            <input class="weui-input class_num" id="select-class" placeholder="请选择年级" readonly="">
            <!--<div class="weui-input" id="select-class" ></div>-->
        </div>
    </div>
    <div class="lists">
        <!--<a class="weui-cell weui-cell_access" href="javascript:;">-->
            <!--<div class="weui-cell__bd weui-cell_primary">-->
                <!--<p>到店消费</p>-->
            <!--</div>-->
        <!--</a>-->
        <!--<div>-->
            <!--<img src="../../resource/shaoniangong/images/index/cs1.jpg" alt=""/>-->
            <!--<div>-->
                <!--<div class="lists_title">品名</div>-->
                <!--<div class="lists_detail">-->
                    <!--<span>￥399</span>-->
                    <!--<span><i class="iconal-zuyue"></i>120分钟</span>-->
                <!--</div>-->
                <!--<div class="lists_num">-->
                    <!--<span>1</span>-->
                <!--</div>-->
            <!--</div>-->
            <!--<a class="weui-cell weui-cell_access show-actions-times times0000" href="javascript:;">-->
                <!--<div class="weui-cell__bd weui-cell_primary">-->
                    <!--<p>请选择服务时间</p>-->
                <!--</div>-->
                <!--<span class="weui-cell__ft"></span>-->
            <!--</a>-->
            <!--<a class="weui-cell weui-cell_access formTJ_fuwuJS fuwuJS0000" href="javascript:;">-->
                <!--<div class="weui-cell__bd weui-cell_primary">-->
                    <!--<p>请选择服务技师</p>-->
                <!--</div>-->
                <!--<span class="weui-cell__ft"></span>-->
            <!--</a>-->
        <!--</div>-->
    </div>
    <!-- <div class="formTJ">
        <a id="formTJ_coupon" class="weui-cell weui-cell_access" href="{php echo app_url('member/coupon')}">
            <div class="weui-cell__bd weui-cell_primary">
                <p>使用优惠券</p>
            </div>
            <span class="weui-cell__ft"></span>
        </a>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">给商家留言</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input remark" type="text" placeholder="请输入留言内容">
            </div>
        </div>
    </div> -->
    <div class="footer">
        <div>实付金额: <span>￥0.00</span></div>
        <a href="##" onclick="pay(this)">立即预约</a>
    </div>
    {php include wl_template('common/address');}
    <div id="COUPON"></div>
</body>
<script src="{TG_URL_ARES}shaoniangong/js/common.js"></script>
<script src="{TG_URL_ARES}shaoniangong/js/index_order.js"></script>
</html>